[Characteristics of human papillomavirus infection and abnormal cervical cytology in health check-up females in Shenzhen].

Zhonghua Liu Xing Bing Xue Za Zhi

Peking University Health Science Center Meinian Public Health Institute/Peking University Center for Public Health and Epidemic Preparedness & Response/Department of Epidemiology and Biostatistc, School of Public Health, Peking University, Beijing 100191, China.

Published: July 2021

To describe the characteristics of human papillomavirus infection and thinprep cytologic test (TCT) outcome in health check-up females in Shenzhen. Use cross-sectional design, collect information from data from health check-up females in Shenzhen and describe characteristics of HPV infections screening and TCT outcomes. We collected the data of 75 754 females, 103 508 females and 69 964 females received HPV detection, TCT and combined detection respectively. HPV standardized infection rate was 19.89% (95%: 19.45%-20.33%) and showed a "U-shaped" pattern in age distribution. The most prevalent HPV genotypes were 52, 51, 16, 58 and 53. Infection rate was higher for high-risk HPV than low-risk HPV genotype. Single infection was more common than its multiple infection. In addition, 7.48% (95%: 7.22%-7.75%) women were TCT positive, of whom 4.58% (95%: 4.40%-4.76%), 2.54% (2.40%-2.69%), 0.27% (95%: 0.23%-0.31%) had atypical squamous cells, low-grade squamous intraepithelial lesions and high-grade squamous intraepithelial lesions, respectively. Overall and subtype HPV infection rates increased with severity of abnormal cervical cytology. The most prevalent HPV genotypes were 52, 58 and 16 in women with abnormal cervical cytology. HPV prevalence remains at a high level in Shenzhen. This study suggests that attention should be paid to HPV screening, especially in young, perimenopausal women and in high risk HPV genotype infection. Timely follow-up and cervical cytology screening are required for women with high-risk HPV infection or persistent infection. Future vaccination strategies should take account of prevalent HPV genotype.

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http://dx.doi.org/10.3760/cma.j.cn112338-20210106-00007DOI Listing

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